| NPI | 1396166575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401671) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NY 602014) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ RN201885) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ AP8980) | |
| Enumeration Date | 2013-12-14 |
| Last Update Date | 2020-03-25 |